The Phoenix STROKE Club,
   Forest community school,
  Comptons lane,hORSHAM,
WEST Sussex. RH13 5NJ
Phone Number 01403 268130
Reg Charity No 278998

GIFT AID DECLARATION

Name of Charity: The Phoenix Stroke Club (Charity No: 278998)

Please treat

  	The enclosed gift of £___________ as a one off Gift Aid donation; OR

	All gifts of money that I make today and in the future as Gift Aid donations; OR

	All gifts of money that I have made in the past 6 years and all future gifts on money that I make from the date of this declaration as Gift Aid donations.

(Please tick the appropriate box)

Gift Aid Declaration

	I confirm I am a UK tax payer and I have paid, or will pay, an amount of Income Tax and/or Capital Gains Tax for the current tax year (6th April to 5th April) that is at least equal to the amount of tax that all the charities and Community Amateur Sport Clubs (CASCs) that I donate to will reclaim on my gifts for the current tax year. I understand that other taxes such as VAT and Council Tax do not qualify. I understand the charity will reclaim 25p of tax on every £1 that I have given.

DONORS DETAILS

Title:__________ Initial(s):_____________ Surname:___________________________

Home Address: _________________________________________________________

Postcode:________________________ 		Date:___________________________

Signature:_______________________

Please notify the charity if you:
1.	Want to cancel this declaration
2.	Change your name or home address
3.	No longer pay sufficient tax on your income and/or capital gains.

Tax claimed by the charity 
•	The charity will reclaim 28p of tax on every £1 you gave up to 5 April 2008.
•	The charity will reclaim 25p of tax on every £1 you give on or after 6 April 2008.
•	The Government will pay to the charity an additional 3p on every £1 you give between 6 April 2008 and 5 April 2011. This transitional relief for the charity does not affect your personal tax position. 

If you pay income tax at the higher rate, you must include all your Gift Aid donations on your Self Assessment tax return if you want to receive the additional tax relief due to you.